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Sullins Eye Care Center, Inc.

Details

Name: Sullins Eye Care Center, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 01 Jul 1996 (28 years ago) (Companies founded in July 1996)
Entity Number: 000-180-733
Register Number: 000180733
Historical Names: Linda Anderson Jones, O.D., P.C.
Jones & Kennedy Family Optometry, P.C.
ZIP code: 35802 (Companies in Madison, 35802)
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 7500 MEMORIAL PKWY STE 120HUNTSVILLE, AL 35802
Authorized Capital: $1,000
Paid Share Capital: --

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194909721 2007-12-18 2012-11-21 7540 MEMORIAL PKWY SW, SUITE Q, HUNTSVILLE, AL, 358022265, US 7540 MEMORIAL PKWY SW, SUITE Q, HUNTSVILLE, AL, 358022265, US

Contacts
Phone +1 256-880-1966
Fax 2568806805

Authorized person
Name LYNNE TIDWELL
Role BUSINESS MANAGER
Phone 2564646670

Taxonomy
Taxonomy Code 152W00000X - Optometrist
License Number S-761-TA-167
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICARE GROUP PIN
Number G900
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SULLINS EYE CARE CENTER INC 401K PROFIT SHARING PLAN AND TRUST 2023 631174618 2024-06-30 SULLINS EYE CARE CENTER INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 2564646670
Plan sponsor’s address 104 GIN OAKS COURT, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2024-06-30
Name of individual signing LYNNE TONINI
SULLINS EYE CARE CENTER INC 401K PROFIT SHARING PLAN AND TRUST 2022 631174618 2023-08-03 SULLINS EYE CARE CENTER INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 2564646670
Plan sponsor’s address 104 GIN OAKS COURT, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2023-08-03
Name of individual signing LYNNE TONINI
SULLINS EYE CARE CENTER INC 401K PROFIT SHARING PLAN AND TRUST 2021 631174618 2022-07-12 SULLINS EYE CARE CENTER INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 2564646670
Plan sponsor’s address 104 GIN OAKS COURT, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2022-07-12
Name of individual signing LYNNE TONINI
SULLINS EYE CARE CENTER INC 401K PROFIT SHARING PLAN AND TRUST 2020 631174618 2021-07-29 SULLINS EYE CARE CENTER INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 2564646670
Plan sponsor’s address 104 GIN OAKS COURT, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2021-07-29
Name of individual signing LYNNE TONINI
SULLINS EYE CARE CENTER INC 401K PROFIT SHARING PLAN AND TRUST 2019 631174618 2020-08-04 SULLINS EYE CARE CENTER INC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 2564646670
Plan sponsor’s address 104 GIN OAKS COURT, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2020-08-04
Name of individual signing LYNNE TONINI
SULLINS EYE CARE CENTER INC 401K PROFIT SHARING PLAN AND TRUST 2018 631174618 2019-09-13 SULLINS EYE CARE CENTER INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 2564646670
Plan sponsor’s address 104 GIN OAKS COURT, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2019-09-13
Name of individual signing LYNNE TONINI
SULLINS EYE CARE CENTER INC 401K PROFIT SHARING PLAN AND TRUST 2017 631174618 2018-09-05 SULLINS EYE CARE CENTER INC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 2564646670
Plan sponsor’s address 104 GIN OAKS COURT, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2018-09-05
Name of individual signing LYNNE TONINI
SULLINS EYE CARE CENTER INC 401K PROFIT SHARING PLAN AND TRUST 2016 631174618 2017-08-03 SULLINS EYE CARE CENTER INC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 2564646670
Plan sponsor’s address 104 GIN OAKS COURT, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2017-08-03
Name of individual signing LYNNE TONINI
SULLINS EYE CARE CENTER INC 401 K PROFIT SHARING PLAN TRUST 2015 631174618 2016-07-25 SULLINS EYE CARE CENTER INC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 2564646670
Plan sponsor’s address 104 GIN OAKS COURT, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing LINDA SULLINS
SULLINS EYE CARE CENTER INC 401 K PROFIT SHARING PLAN TRUST 2014 631174618 2015-06-24 SULLINS EYE CARE CENTER INC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621320
Sponsor’s telephone number 2564646670
Plan sponsor’s address 104 GIN OAKS COURT, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2015-06-24
Name of individual signing STEVE SULLINS

Agent

Name Role
SULLINS, STEVEN L Agent

Incorporator

Name Role
JONES, LINDA ANDERSON Incorporator

Events

Event Date Event Type Old Value New Value
2004-01-08 Name Change Jones & Kennedy Family Optometry, P.C. Sullins Eye Care Center, Inc.
2000-09-29 Name Change Linda Anderson Jones, O.D., P.C. Jones & Kennedy Family Optometry, P.C.

Related by officers

No related officers

Related by address

HUNTSVILLE, AL

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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